Provider Demographics
NPI:1689770976
Name:FOSTER-BOATWRIGHT, GEE (FNP)
Entity Type:Individual
Prefix:MS
First Name:GEE
Middle Name:
Last Name:FOSTER-BOATWRIGHT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 W BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-2606
Mailing Address - Country:US
Mailing Address - Phone:803-951-1717
Mailing Address - Fax:803-937-4385
Practice Address - Street 1:346 W BUTLER ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2606
Practice Address - Country:US
Practice Address - Phone:803-951-1717
Practice Address - Fax:803-937-4385
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3213363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCVAD 000Medicare UPIN